| Androscoggin Valley Hospital, Inc. | |
|
59 Page Hill Rd Berlin NH 03570-3542 | |
| (603) 326-5827 | |
| (603) 326-5832 |
| Full Name | Androscoggin Valley Hospital, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 59 Page Hill Rd, Berlin, New Hampshire |
| Authorized Official Name and Position | Suzanne L Landry (VP OF COMPLIANCE AND RISK MANAGMENT) |
| Authorized Official Contact | 6033265608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Androscoggin Valley Hospital, Inc. 59 Page Hill Rd Berlin NH 03570-3542 Ph: (603) 326-5827 | Androscoggin Valley Hospital, Inc. 59 Page Hill Rd Berlin NH 03570-3542 Ph: (603) 326-5827 |
| NPI Number | 1386680593 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Medicare PECOS PAC ID | 2365350725 |
|---|---|
| Medicare Enrollment ID | O20040402000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386680593 | NPI | - | NPPES |
| 3073139 | Medicaid | NH |
| Provider Name | Keith Shute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588666267 PECOS PAC ID: 2567370018 Enrollment ID: I20040519000737 |
| Provider Name | Susan M Lessard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871595876 PECOS PAC ID: 8022009935 Enrollment ID: I20040520000039 |
| Provider Name | Donald Kernan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740272517 PECOS PAC ID: 9739170655 Enrollment ID: I20040520000149 |
| Provider Name | Arthur Albert Ruediger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528110194 PECOS PAC ID: 9436140381 Enrollment ID: I20040520000348 |
| Provider Name | Richard J Lorenz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407902323 PECOS PAC ID: 1850365594 Enrollment ID: I20040819001312 |
| Provider Name | Geoffrey Starr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831118017 PECOS PAC ID: 6709845787 Enrollment ID: I20041006000059 |
| Provider Name | Richard G Kardell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649338468 PECOS PAC ID: 2769431600 Enrollment ID: I20050118000449 |
| Provider Name | Khawaja Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871687038 PECOS PAC ID: 3870539083 Enrollment ID: I20050628000991 |
| Provider Name | Victor Lazaron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871585141 PECOS PAC ID: 0244276566 Enrollment ID: I20050707000974 |
| Provider Name | Eliot D Foley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528069424 PECOS PAC ID: 5193767945 Enrollment ID: I20050712000245 |
| Provider Name | Donald Ayres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134229610 PECOS PAC ID: 5991797862 Enrollment ID: I20051014000255 |
| Provider Name | Janet Perkins-howland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124057278 PECOS PAC ID: 8527089770 Enrollment ID: I20051215000162 |
| Provider Name | Newton Timothy Peters |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407859556 PECOS PAC ID: 5092739599 Enrollment ID: I20060124000364 |
| Provider Name | Morice P Dennery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386667251 PECOS PAC ID: 4981618964 Enrollment ID: I20060130000108 |
| Provider Name | Peggy M Simon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770688236 PECOS PAC ID: 6204847833 Enrollment ID: I20060511000097 |
| Provider Name | Christopher N Dainiak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710942354 PECOS PAC ID: 2961392428 Enrollment ID: I20060727000276 |
| Provider Name | Francis J Valenti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588698740 PECOS PAC ID: 4486620218 Enrollment ID: I20060811000440 |
| Provider Name | Jonathan J Eddinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538192463 PECOS PAC ID: 5496727968 Enrollment ID: I20060816000560 |
| Provider Name | Suzanne Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518987270 PECOS PAC ID: 5294745436 Enrollment ID: I20061229000302 |
| Provider Name | Javier D Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134168859 PECOS PAC ID: 1850331935 Enrollment ID: I20070808000362 |
| Provider Name | Christopher Bernard Chapman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225044324 PECOS PAC ID: 2860570454 Enrollment ID: I20080423000084 |
| Provider Name | Pamela M Goudreau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548365984 PECOS PAC ID: 0648277210 Enrollment ID: I20080726000043 |
| Provider Name | Curtis Howard Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209133 PECOS PAC ID: 0749269991 Enrollment ID: I20081107000435 |
| Provider Name | Mark Galen Vojtko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760621056 PECOS PAC ID: 6901962935 Enrollment ID: I20090227000049 |
| Provider Name | Charanjit Reddy Veeramalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114098852 PECOS PAC ID: 4284730680 Enrollment ID: I20090303000196 |
| Provider Name | Joseph M Litwak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792958 PECOS PAC ID: 0648367722 Enrollment ID: I20090915000479 |
| Provider Name | Krzysztof Z Plociennik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194817759 PECOS PAC ID: 5092851691 Enrollment ID: I20091013000469 |
| Provider Name | Brian M Beals |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104828979 PECOS PAC ID: 1052458023 Enrollment ID: I20091023000120 |
| Provider Name | Matthew Mcphee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376775171 PECOS PAC ID: 0941348429 Enrollment ID: I20091104000320 |
| Provider Name | Jenifer a Glatz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821206236 PECOS PAC ID: 6507954369 Enrollment ID: I20100607000216 |
| Provider Name | Steven V Ball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417191685 PECOS PAC ID: 3375696974 Enrollment ID: I20100624000428 |
| Provider Name | Joseph Della Valla |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386684439 PECOS PAC ID: 2062470040 Enrollment ID: I20110214000879 |
| Provider Name | Diane Marie Demers Dube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790081867 PECOS PAC ID: 7810170016 Enrollment ID: I20110325000290 |
| Provider Name | Samantha J Harrington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396043162 PECOS PAC ID: 9638354632 Enrollment ID: I20110505000699 |
| Provider Name | Warren Scott Goldblatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689677742 PECOS PAC ID: 3779796230 Enrollment ID: I20110516000880 |
| Provider Name | Lynn a Borchers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831324375 PECOS PAC ID: 6002968682 Enrollment ID: I20110524000648 |
| Provider Name | Jeremy S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174784557 PECOS PAC ID: 0749458107 Enrollment ID: I20110729000550 |
| Provider Name | Christopher J Clarke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649473315 PECOS PAC ID: 0446422992 Enrollment ID: I20111006000114 |
| Provider Name | Ivar L Frithsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891803755 PECOS PAC ID: 6901834779 Enrollment ID: I20120405000070 |
| Provider Name | Mona Nesrallah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073769535 PECOS PAC ID: 9638329873 Enrollment ID: I20121024000030 |
| Provider Name | Jessica P Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164580726 PECOS PAC ID: 8628213071 Enrollment ID: I20130408000045 |
| Provider Name | Tamsin M Durand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376742627 PECOS PAC ID: 2567608995 Enrollment ID: I20130409000450 |
| Provider Name | Jared J Vandenbroek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699914515 PECOS PAC ID: 6800943440 Enrollment ID: I20130925000916 |
| Provider Name | Kevin Geffe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730383779 PECOS PAC ID: 8123264876 Enrollment ID: I20131007000565 |
| Provider Name | Wendy a Demartino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125899 PECOS PAC ID: 0648364760 Enrollment ID: I20131231000465 |
| Provider Name | Veronica L Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558655134 PECOS PAC ID: 8729204573 Enrollment ID: I20140731000146 |
| Provider Name | Timothy Sullivan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538486717 PECOS PAC ID: 4789825167 Enrollment ID: I20140805000447 |
| Provider Name | Kathryn S Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518195635 PECOS PAC ID: 8527114545 Enrollment ID: I20150313000090 |
| Provider Name | Scott P Brody |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164423760 PECOS PAC ID: 8628020849 Enrollment ID: I20150427000306 |
| Provider Name | Tiffani N Witmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366836082 PECOS PAC ID: 7719207513 Enrollment ID: I20150519001091 |
| Provider Name | Stephanie Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225494198 PECOS PAC ID: 0244538387 Enrollment ID: I20160406000847 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160414000651 |
| Provider Name | James Howard Mackey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598068520 PECOS PAC ID: 7618150483 Enrollment ID: I20160421001033 |
| Provider Name | Stephen G Kraunz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982920427 PECOS PAC ID: 9133411952 Enrollment ID: I20160714000590 |
| Provider Name | Alyssa C Dunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790139244 PECOS PAC ID: 6406140557 Enrollment ID: I20160811002222 |
| Provider Name | Reggie L Coulombe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437275245 PECOS PAC ID: 1850585795 Enrollment ID: I20160908001653 |
| Provider Name | Allison Anastasoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326491325 PECOS PAC ID: 6305124140 Enrollment ID: I20161028000750 |
| Provider Name | Joseph M Ullman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598708588 PECOS PAC ID: 8325078827 Enrollment ID: I20161122001908 |
| Provider Name | Leon P Mclean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457495806 PECOS PAC ID: 1951598481 Enrollment ID: I20161212002066 |
| Provider Name | Joanie Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819445 PECOS PAC ID: 8426280033 Enrollment ID: I20170109001635 |
| Provider Name | Kathryn E Jennings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679011332 PECOS PAC ID: 1254615974 Enrollment ID: I20170224000977 |
| Provider Name | Seth C Ritter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531781 PECOS PAC ID: 9537318795 Enrollment ID: I20170510002098 |
| Provider Name | Laurel a Elkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538697719 PECOS PAC ID: 6507138906 Enrollment ID: I20170821000244 |
| Provider Name | Noretta E Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699115766 PECOS PAC ID: 8123252533 Enrollment ID: I20170822001366 |
| Provider Name | Jared a Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226002 PECOS PAC ID: 1951542018 Enrollment ID: I20170918002588 |
| Provider Name | Luc G Corriveau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104229129 PECOS PAC ID: 0547586224 Enrollment ID: I20180208000436 |
| Provider Name | Gerald S Hussar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295758571 PECOS PAC ID: 2365459716 Enrollment ID: I20180424000883 |
| Provider Name | Xiaoyu S Yang-giuliano |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649565599 PECOS PAC ID: 1456669571 Enrollment ID: I20180522002585 |
| Provider Name | Elisabeth a Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205060167 PECOS PAC ID: 0345498978 Enrollment ID: I20180622000410 |
| Provider Name | Allyson Disilva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952772329 PECOS PAC ID: 1355641739 Enrollment ID: I20190610001366 |
| Provider Name | Mahlon Arthur Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801889761 PECOS PAC ID: 0749187920 Enrollment ID: I20190617001840 |
| Provider Name | Kinley Beck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770840365 PECOS PAC ID: 8123318383 Enrollment ID: I20190628000762 |
| Provider Name | Michael J Bagin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730616806 PECOS PAC ID: 5092080952 Enrollment ID: I20191011001230 |
| Provider Name | Meghan S Zimmerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609136589 PECOS PAC ID: 7719105402 Enrollment ID: I20191101002304 |
| Provider Name | Amy E Tan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235176611 PECOS PAC ID: 3577542877 Enrollment ID: I20191205001469 |
| Provider Name | Gregory Alnwick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720104581 PECOS PAC ID: 9638501026 Enrollment ID: I20191211000999 |
| Provider Name | Angelina Hubert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518235308 PECOS PAC ID: 9234391657 Enrollment ID: I20200107001598 |
| Provider Name | Derek C Eastman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003070855 PECOS PAC ID: 5890121834 Enrollment ID: I20200211000360 |
| Provider Name | Clifford William Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200514000339 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760878912 PECOS PAC ID: 5890088280 Enrollment ID: I20200520002104 |
| Provider Name | Shannon Haley Frye |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003438029 PECOS PAC ID: 7810312386 Enrollment ID: I20200730002306 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20200929003260 |
| Provider Name | Kynan C Trail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962452458 PECOS PAC ID: 6305749912 Enrollment ID: I20201214000255 |
| Provider Name | Katelynn Badger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710508478 PECOS PAC ID: 0648680058 Enrollment ID: I20201216002588 |
| Provider Name | Eric Siegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205010642 PECOS PAC ID: 6406972561 Enrollment ID: I20201224000375 |
| Provider Name | Robert H Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525357 PECOS PAC ID: 5092129775 Enrollment ID: I20210121001648 |
| Provider Name | Jerrol Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316084932 PECOS PAC ID: 2365515079 Enrollment ID: I20210225002549 |
| Provider Name | Eli Z Schned |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528441052 PECOS PAC ID: 4082903570 Enrollment ID: I20210309000159 |
| Provider Name | Alexandru Iorga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306231964 PECOS PAC ID: 0749556058 Enrollment ID: I20210315000191 |
| Provider Name | Julia Rittenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013329622 PECOS PAC ID: 8022388016 Enrollment ID: I20210730002556 |
| Provider Name | Joan Flint |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386804029 PECOS PAC ID: 7618148586 Enrollment ID: I20211013002325 |
| Provider Name | Stenneth C Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982642146 PECOS PAC ID: 5395702104 Enrollment ID: I20211214002575 |
| Provider Name | Ryan Brass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598025892 PECOS PAC ID: 8022325323 Enrollment ID: I20220201002418 |
| Provider Name | David Sindler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538543087 PECOS PAC ID: 4082977087 Enrollment ID: I20220503002654 |
| Provider Name | Jennifer Ling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366860025 PECOS PAC ID: 7618194051 Enrollment ID: I20220708003085 |
| Provider Name | Steven Tsistrakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992168389 PECOS PAC ID: 4284970567 Enrollment ID: I20220801000191 |
| Provider Name | Saritha Laxmi Katta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033679550 PECOS PAC ID: 7618353533 Enrollment ID: I20221017001154 |
| Provider Name | Rachel Clark Brayfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275003428 PECOS PAC ID: 0547507717 Enrollment ID: I20221101000308 |
| Provider Name | Angela Cunningham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700496635 PECOS PAC ID: 4981014313 Enrollment ID: I20221201000155 |
| Provider Name | David Charles Hetzelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750373726 PECOS PAC ID: 8224064449 Enrollment ID: I20230309000406 |
| Provider Name | Deepshikha Nag Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255643078 PECOS PAC ID: 7911299185 Enrollment ID: I20230310001693 |
| Provider Name | Stefan Buca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417121799 PECOS PAC ID: 1850578816 Enrollment ID: I20230331000757 |
| Provider Name | Jason Thomas Szelog |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366936882 PECOS PAC ID: 6800122235 Enrollment ID: I20230522000425 |
| Provider Name | Amanda Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831633692 PECOS PAC ID: 3375826191 Enrollment ID: I20230620000455 |
| Provider Name | Tara Bugbee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952340424 PECOS PAC ID: 0143267955 Enrollment ID: I20230628003772 |
| Provider Name | Christopher Caracciolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073171435 PECOS PAC ID: 3870821549 Enrollment ID: I20230703002634 |
| Provider Name | Kimberly Mae Molina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053494963 PECOS PAC ID: 6709919053 Enrollment ID: I20230824000548 |
| Provider Name | Mark Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609372382 PECOS PAC ID: 4486901246 Enrollment ID: I20230919000230 |
| Provider Name | Laura Horton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609225242 PECOS PAC ID: 1759675499 Enrollment ID: I20230921001593 |
| Provider Name | Kathryn N Silvestris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104448539 PECOS PAC ID: 9133546526 Enrollment ID: I20240130000041 |
| Provider Name | Michael Urdang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578744744 PECOS PAC ID: 4385010610 Enrollment ID: I20240205002605 |
| Provider Name | Robert L Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508837006 PECOS PAC ID: 0446316350 Enrollment ID: I20240226002691 |
| Provider Name | Ryan J Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477873412 PECOS PAC ID: 1355585290 Enrollment ID: I20240313000547 |
| Provider Name | Julie Anne Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538184288 PECOS PAC ID: 4688625445 Enrollment ID: I20240423000117 |
| Provider Name | Julia K. Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750142923 PECOS PAC ID: 3375985153 Enrollment ID: I20240524000577 |
| Provider Name | Brendon Kinsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154943553 PECOS PAC ID: 9436576725 Enrollment ID: I20240607000100 |
| Provider Name | Elizabeth Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366029159 PECOS PAC ID: 4789084260 Enrollment ID: I20240614000865 |
| Provider Name | Rishi Ramkissoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730530007 PECOS PAC ID: 4284921107 Enrollment ID: I20240812002727 |
| Provider Name | Matthew J Clifford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083153969 PECOS PAC ID: 5496026700 Enrollment ID: I20240813002211 |
| Provider Name | Maseray S Kamara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518456763 PECOS PAC ID: 7012266737 Enrollment ID: I20241011001469 |
| Provider Name | Kayley Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083432389 PECOS PAC ID: 1355876186 Enrollment ID: I20241203000785 |
| Provider Name | Rebecca J Rose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609015577 PECOS PAC ID: 5092861187 Enrollment ID: I20250117001091 |
| Provider Name | Noah Keller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497976112 PECOS PAC ID: 2668566027 Enrollment ID: I20250122002033 |
| Provider Name | Rachel M Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146050 PECOS PAC ID: 4981905460 Enrollment ID: I20250221002788 |
| Provider Name | Harsh Wardhan Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20250430003539 |
| Provider Name | Curtis Ramon Deloney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952458812 PECOS PAC ID: 9830362433 Enrollment ID: I20250505000649 |
| Provider Name | Michael Allen Nemeth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730184813 PECOS PAC ID: 3779486147 Enrollment ID: I20250602000207 |
| Provider Name | Clyde Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093762908 PECOS PAC ID: 4082699376 Enrollment ID: I20250605001531 |
| Provider Name | Bryan Louis Fleischman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417670589 PECOS PAC ID: 0941644280 Enrollment ID: I20250627002265 |
| Provider Name | Anne De Lonais-turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114062387 PECOS PAC ID: 4880773860 Enrollment ID: I20250805002111 |
| Provider Name | Obi Agborbesong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306251459 PECOS PAC ID: 1355567009 Enrollment ID: I20250821002657 |
| Provider Name | Ruben Tchounbia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856534 PECOS PAC ID: 6103153481 Enrollment ID: I20250912003318 |
| Provider Name | Jennifer Clevenger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740656438 PECOS PAC ID: 6608184098 Enrollment ID: I20250919002732 |
| Provider Name | Richard C Collier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780046912 PECOS PAC ID: 7113341934 Enrollment ID: I20251002000408 |
| Provider Name | Nadia Khalil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831728823 PECOS PAC ID: 7113424110 Enrollment ID: I20251007002434 |
| Provider Name | Samuel Charles Essig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275311391 PECOS PAC ID: 3971090309 Enrollment ID: I20251017001523 |
| Provider Name | Janki Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811617269 PECOS PAC ID: 2860999257 Enrollment ID: I20251113000138 |
| Provider Name | Anastasia Mikel Tereschuk-phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720319940 PECOS PAC ID: 5395875975 Enrollment ID: I20260216001986 |
| Provider Name | Elizabeth Cusano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871794271 PECOS PAC ID: 5991861684 Enrollment ID: I20260422001903 |
| Provider Name | Nicolette Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124480660 PECOS PAC ID: 1456625136 Enrollment ID: I20260521003202 |
Coos County Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2900 Fax: 603-752-3727 |